Attachment 0001_Offeror Work Experience.pdf

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Under Bridge Inspection Vehicle (UBIV) with driver/operator and traffic control
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69056721Q000060
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ATTACHMENT 000# Page 1 of 1

OFFEROR WORK EXPERIENCE FORM

To be completed & submitted by Offeror

Directions: Complete this form for past or present contracts submitted for evaluation that meets or exceeds the stated criteria for Evaluation Factor 3.

Submit this completed form with your proposal. DO NOT EXCEED A MAXIMUM of five (5) pages total for contract and management experience per identified relevant contract.

Offeror Information:

Company Name

Company Address

Point of Contact

Phone Number

E-mail Address

Contract Information:

Contract Title

Owner/Agency Name

Location/Address

Point of Contact

Contact E-mail Address

Contact Phone #

Contract Information Our firm was the PRIME: YES NO

If the PRIME, list # of subcontractors

If the PRIME, Total Value of Subcontracts: $

Original Completion Date: Final Completion Date:

Original Contract Value: $ Final Contract Value: $

Describe work performed under this contract:

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